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Employment Application

* Denotes required field

* Last Name:
* First Name:
Middle Name:
Home Telephone:
Business Telephone:
Other Number:
* Email:
Address 1:
Address 2:
City:
State:  
Province:  
Zip:
Country:  
Are You:
Were you previously
employed at C & C Sand and Stone?
If yes, when?
What was your
position?
Position(s) you are seeking:
Can you submit legal verification of your right to work in the United States?
Please specify the date
you are available for
work:
Do you have friends or
relatives employed
here?:
If yes, what is their
name?:
If yes, what is your
relationship?:
Do you have adequate
transportation?:
EDUCATION
High School Name or GED:
City:
State:  
Highest Grade completed:
Graduated:
College or University Name:
City:
State:  
Subjects Studied:
Highest Grade completed:
Graduated:
Vocational or Technical School:
City:
State:  
Subjects Studied:
Highest Grade completed:
Graduated:
Other Education:
Subjects Studied:
Highest Grade completed:
Graduated:
Additional Skills:
Machines operated:
EMPLOYMENT HISTORY
Indicate previous employment (including military)for the last five years. If employed now, may we contact your employer?
Name of Employer:
Address, City, State, Zip Code:
Telephone:
Title:
Duties:
Supervisor(s):
From (mo/yr):
To(mo/yr):
Start $:
Final $:
Reason for Leaving:
Name of Employer:
Address, City, State, Zip Code:
Telephone:
Title:
Duties:
Supervisor(s):
From (mo/yr):
To(mo/yr):
Start $:
Final $:
Reason for Leaving:
Name of Employer:
Address, City, State, Zip Code:
Telephone:
Title:
Duties:
Supervisor(s):
From (mo/yr):
To(mo/yr):
Start $:
Final $:
Reason for Leaving:
Name of Employer:
Address, City, State, Zip Code:
Telephone:
Title:
Duties:
Supervisor(s):
From (mo/yr):
To(mo/yr):
Start $:
Final $:
Reason for Leaving:
Indicate with a checkmark your knowledge or experience in the following:
Other:
Do you have landscaping experience? Please list:
REFERENCES
Please list three references not related to you and not employed by this company. Please do not refer to mere acquaintances or former employers.
Name:
Address:
Phone:
Name:
Address:
Phone:
Name:
Address:
Phone:


Please enter your name as it appears on government issued
Social Security card or Drivers License and Submit:



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